Re: Fat soluble vitamin absorption--

[Guest guest]

,

For the first 6 weeks, Dr. Anthone doesn't require us to take full

supliments. Currently I take a chewable multi-vitamin. At the 6-week

appointment he will perscribe the pre-natal multi-vitamin, and the

nutritionist has us take " Allergy A & D " from Twinlabs and Calcium

Citrate (also from Twinlabs). I don't have the pre-natal Rx yet.

I also purchaes Acidopholis (in pill form) and Lactaid (to help with

lactous intolerance).

I will let you know as soon as I have time to test these pills. I

plan to swallow them (they are NOT chewable).

I don't see anything wrong with going with Allergy A & D instead of the

ADEK's, as long as you discuss it with your surgeon. He/she may want

to test you for Vitaman E & K defficiencies down the road. Again,

you can site the lack of problems in the literature as justification

for at least considering this. Perhaps some ADEK's come in pill

rather than chewable form.

Hull

> > >CHRIS HULL -- you would know this

> > > technical stuff --- Are calcium and other trace minerals mainly

> > absorbed in

> > > the duodenum? What about protein? Are the fat-soluable

vitamins

> > (A, D, E,

> > > K) absorbed in the common channel???

> > >

> >

> > From what I have read, Vitamins B12 and some calcium are absorbed

> in

> > the duodenum, or at least they need the intrinsic factor that is

> > produced in the duodenum. For this reason, RNY patients have

need

> > B12 supplimentation, but DS patients do not.

> >

> > Absorption of all fat soluble vitamins is affected by the

BPD/DS.

> It

> > has not been documented (in any of the papers that I have read)

> > exactly where the absorption occurs, but it is presumed to be

> > primarilly in the common channel, with some absorption (possibly)

> in

> > the alimentary limb. Defeciancies of Vitamens D and Calcium are

> the

> > most serious, followed by Vitaman A. I have seen no documented

> > issues with vitaman E & K. Interestingly, Dr. Anthone prescribes

> > Allergy A & D vitamins plus a pre-natal multi-vitaman, and

calcium.

> He

> > does not prescribe ADEK's, presumbably for the above stated

reason.

> >

> > In addition, Iron absorption can be an issue (particularly with

> > menstruating women). I think the duodenumm helps with iron

> > absorption as well.

> >

> > Hull

[Guest guest]

Thanks, Chris!

I just went to the scandipharm (ADEKs) site again and it DID say that

the tablets could be halved and swallowed. I suppose this is my last

option with these suckers, since I've tried dissolving them, crushing

them, suspending them, etc.

Do please let me know about the Citrate dose and the pre-natal brand

and dose when you get there.

Best,

> > > >CHRIS HULL -- you would know this

> > > > technical stuff --- Are calcium and other trace minerals

mainly

> > > absorbed in

> > > > the duodenum? What about protein? Are the fat-soluable

> vitamins

> > > (A, D, E,

> > > > K) absorbed in the common channel???

> > > >

> > >

> > > From what I have read, Vitamins B12 and some calcium are

absorbed

> > in

> > > the duodenum, or at least they need the intrinsic factor that

is

> > > produced in the duodenum. For this reason, RNY patients have

> need

> > > B12 supplimentation, but DS patients do not.

> > >

> > > Absorption of all fat soluble vitamins is affected by the

> BPD/DS.

> > It

> > > has not been documented (in any of the papers that I have read)

> > > exactly where the absorption occurs, but it is presumed to be

> > > primarilly in the common channel, with some absorption

(possibly)

> > in

> > > the alimentary limb. Defeciancies of Vitamens D and Calcium

are

> > the

> > > most serious, followed by Vitaman A. I have seen no documented

> > > issues with vitaman E & K. Interestingly, Dr. Anthone

prescribes

> > > Allergy A & D vitamins plus a pre-natal multi-vitaman, and

> calcium.

> > He

> > > does not prescribe ADEK's, presumbably for the above stated

> reason.

> > >

> > > In addition, Iron absorption can be an issue (particularly with

> > > menstruating women). I think the duodenumm helps with iron

> > > absorption as well.

> > >

> > > Hull